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I’ve hired a doctor who specializes in diabetic-related health coaching. I don’t have diabetes or pre-diabetes, but I had gestational diabetes, which significantly increases my risk of getting type 2 diabetes as I continue to age. Hence the health coaching BEFORE the problem. She’s an ER doctor who decided to go into health coaching to save peoples’ lives and health before she meets them in the ER with diabetic-related complications.
Anyway…. The food plan I’m on isn’t ketogenic, though it does involve lower carb intake, moderate fat and protein intake, and lots of vegetables. At the same time, counseling with respect to changing my relationship with food to dull emotion.
I agree with what you say about sustainability and commitment. They’re important. Although I’m more interested in my blood work than my weight, I’m losing weight. But nothing compared to the losses you’re quoting.
Curious, now that we’re 5 years later, are your clients still maintaining the loss you profess?